Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leah Jo Moore

Individual provider Occupational Therapy Assistant · NPI 1609761873

Leah Jo Moore is an Occupational Therapy Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

6535 Chester Ave
Jacksonville, FL 32217-2247
Phone: (904) 731-8230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 19685 (FL)

Record details

NPI number1609761873
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address4450 Huntington Forest Blvd, Jacksonville, FL 32257-7597

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